Objective: shows the mid-term complications occurring in patients operated in Sudan followed by local cardiologists. Patients and methods: All patients who underwent valve heart surgery abroad for rheumatic heart disease and followed in BURUNDI were included in our study. Results: Middle age= 24, 72 ±11.8 years. There were many woman in our study (61.1%). Mitral valve surgery was the most performed (92.6%). The main medium-term complications were, atrial fibrillation (18.5%), pulmonary

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... ion (12.9%) and death (5.5%). Conclusion: Atrial fibrillation, pulmonary hypertension and death were the main complications that occurred in our patients during the medium-term follow-up.